Which statement describes the sudden worsening of hyperthyroidism symptoms that may occur with infections or stress?

Choice A rationale

Herpes Simplex Virus (HSV) type 1 and type 2 are both lifelong infections that can cause recurrent outbreaks of symptoms. These outbreaks can occur periodically and are often triggered by factors such as stress, illness, or sun exposure.

Choice B rationale

Individuals with HSV do not develop immunity after the first exposure. Instead, the virus remains in the body and can cause recurrent outbreaks.

Choice C rationale

Pain is a common symptom during an outbreak of HSV. This includes pain or discomfort in the affected area during a genital herpes outbreak, or pain around the mouth during an oral herpes outbreak.

Choice D rationale

Individuals with HSV can transmit the virus even when an outbreak is not active. This is known as asymptomatic shedding.

Choice A rationale

While a urinary tract infection (UTI) can cause discomfort and pain, it typically does not cause a palpable mass in the costovertebral angle.

Choice B rationale

Gout is a form of arthritis that causes severe pain and swelling in the joints, not typically in the costovertebral angle.

Choice C rationale

Renal calculi, or kidney stones, can cause severe pain, but they do not typically cause a palpable mass in the costovertebral angle.

Choice D rationale

Renal cell carcinoma, a type of kidney cancer, can cause a palpable mass in the costovertebral angle. This is because the tumor can grow large enough to be felt through the skin.